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Collaboration in Action: Creating a Community Vision to Support the Growing Older Adult Population in Metro Detroit April 16, 2007. …A Work in Progress. Leah Rosenbaum, JVS Linda Blumberg, Jewish Federation Perry Ohren, Jewish Family Service AJFCA & IAJVS 2007 Annual Conference. Agenda.

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Collaboration in Action: Creating a Community Vision to Support the Growing Older Adult Population in Metro DetroitApril 16, 2007

…A Work in Progress

Leah Rosenbaum, JVS

Linda Blumberg, Jewish Federation

Perry Ohren, Jewish Family Service

AJFCA & IAJVS 2007 Annual Conference


Agenda
Agenda Support the Growing Older Adult Population in Metro Detroit

  • History of the COJES* Model Leah

  • COJES Today Perry

  • 2005 Detroit Population Study Linda

  • Eldercare Visioning Process Linda

  • Future of Eldercare Services Linda

    *Commission on Jewish Eldercare Services

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Agency execs task force on aging
Agency Support the Growing Older Adult Population in Metro Detroit Execs Task Force on Aging

  • Jewish Family Service

  • Jewish Community Center

  • JVS

  • Jewish Apartments and Services

  • Jewish Home and Aging Services

  • Federation/COJES

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Historical perspective
Historical Perspective Support the Growing Older Adult Population in Metro Detroit

By the mid 1990s several challenges were facing the Jewish community with regard to services for older adults.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Challenges jewish nursing home
Challenges: Jewish Nursing Home Support the Growing Older Adult Population in Metro Detroit

Borman Hall – a licensed Home for the Aged

  • No longer in the heart of the Jewish community

  • Poor state inspections

  • Fiscal drain on the Federation

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Challenges an aging population
Challenges: Support the Growing Older Adult Population in Metro DetroitAn Aging Population

  • In the mid 1980s, 1 in 100 Michigan residents was over 85.

  • 1990-2000 – more than a 30% increase in residents over 85 y.o.

  • Services would need to adapt to serve an older, frailer population.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare options committee
Eldercare Options Committee Support the Growing Older Adult Population in Metro Detroit

  • Create a vision for caring for older adults

  • Develop a long-term strategy for the community’s delivery of eldercare services

  • Address the problems at Borman Hall and long term care institutional needs

  • Determine community-based care options with the goal of helping older Jewish adults to age in place

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Gaps in array of service
Gaps in Array of Service Support the Growing Older Adult Population in Metro Detroit

  • Dementia specific Adult Day Care

  • In-home support services

  • Centralized information, referral and access to services

  • Affordable housing

  • Services for older adults with lifelong disabilities

  • Wellness, health prevention programs and access to primary health care

  • Transportation

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Recommendation get out of the nursing home business
Recommendation: Get out of the Nursing Home Business Support the Growing Older Adult Population in Metro Detroit

  • Find a qualified operator to serve as a preferred provider

  • Transfer residents to facilities that served kosher food

  • Make Jewish Home and Aging Services responsible for ensuring that these homes operate “Jewishly”

It was clear that Federation needed to convince the community that it was not turning its back on the Jewish frail elderly.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Recommendation create central planning and coordinating authority
Recommendation: Create Central Planning and Coordinating Authority

  • In the fall of 1996 COJES was formed as a consortium of the partner Federation agencies servicing older Jewish adults.

  • Organized as a function of the Federation, as part of the Planning Department

  • Comprised of lay leaders and professional staff of each Federation agency and community members at-large

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Responsibilities of cojes
Responsibilities of COJES Authority

  • Serving as a central planning and coordinating authority for older adult services

  • Creating a continuum of care of quality services for Jewish older adults and their families

  • Developing a community-wide plan and budget for Jewish eldercare services

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge
Meeting the Challenge Authority

  • How to get five agency executives who were hired to protect and grow their own agencies to work together openly

  • How to develop collaborative rather than individualistic projects in order to maximize resources

  • How to avoid duplication of services

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge getting buy in
Meeting the Challenge: Authority Getting Buy In

  • Build on the strengths and expertise of each of the partner agencies

  • Partner agencies were all active participants in the Eldercare Options Committee and the creation of COJES.

  • Partner agencies were part of the interviewing process to choose the director.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge improve collaboration
Meeting the Challenge: Authority Improve Collaboration

COJES, along with the Agency Execs Task Force on Aging, has repeatedly looked for ways to enhance services and efficiency:

  • Examine the best use of existing resources

  • Examine if a program or service lends itself to collaboration

  • Not all services need to be provided by the Jewish community -- no need to duplicate what exists in the general community.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge getting to work
Meeting the Challenge: Authority Getting to Work

How to best structure COJES for getting work done

  • Establishment of subcommittees composed of professionals and lay leaders to address gaps in services including:

    • Jewish Community Information Center

    • Adult Day Care

    • Chaplaincy

    • Community education

    • In-home Support Services

    • Budgeting

    • Housing and transportation

    • Falls prevention and wellness center

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Initial outcomes of cojes
Initial Outcomes of COJES Authority

  • There is a positive view in the community about Federation’s role in addressing the needs of older adults.

  • The preferred providers are offering good care at the nursing homes.

  • More older adults than ever before are being assisted by Federation agencies and receiving the supports needed to age in place.

  • There are expanded and new programs, many jointly operated.

COJES agencies provide a variety of coordinated services offering a continuum of care for older adults.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge establishing a cross agency budget
Meeting the Challenge: Establishing a Cross Agency Budget Authority

  • Shows how much money is actually being spent in the Jewish community on older adult services

  • Shows how much governmental funding is helping to support services

  • Helps provide information on duplication/ overlap of services among the agencies

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Meeting the challenge how to fund programs
Meeting the Challenge: Authority How to Fund Programs

A commitment on the part of the Federation lay and professional leadership to raise money above and beyond the Campaign

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Allocation plus
Allocation Plus Authority

  • Rubin Jewish Community Trust for the Elderly

  • The Jewish Fund

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Thanks to cojes
Thanks to COJES Authority

  • Collaborative efforts

  • Reduction in duplication of services

  • Increased funding has been secured for older adult services.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Cojes today
COJES Today Authority

  • Merged/Joint Programs

  • COJES Strategic Plan

  • Eldercare Services Proposal

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Merged joint programs
Merged/Joint Programs Authority

  • Coville Assisted Living

  • Brown Adult Day Care

  • Transportation

  • Holocaust Survivor Services

  • Assisted Meals

  • NORC SSP

    All as a result of the COJES process

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Coville assisted living
Coville Assisted Living Authority

Transfer of endowed Assisted Living Program from Jewish Family Service to Jewish Apartments and Services

Why do it this way?

  • It serves clients best.

    JFS  JFS & JAS  JAS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Brown adult day care
Brown Adult Day Care Authority

  • One Program

  • Two Adult Day Care sites

  • One Budget and One Director

  • Operated Jointly by JVS and Jewish Home and Aging Services

    Why do it this way?

  • It serves clients best.

    JVS & JHAS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Transportation
Transportation Authority

  • Centralized coordination and dispatching of transportation resources

  • Increased efficiency

  • Share Vehicles and Drivers

    Why do it this way?

     It serves clients best.

    JFS & JAS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Holocaust survivor services
Holocaust Survivor Services Authority

  • Yad B’ Yad – collaboration between Jewish Family Service and Jewish Home and Aging Services to provide friendly visiting to Holocaust survivors

  • It uses each agency’s expertise well.

    Why do it this way?

  • It serves clients best.

    JHAS & JFS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Assisted meals
Assisted Meals Authority

  • Serves Jewish Apartments and Services’ increasingly frail residents who cannot stand in cafeteria line

  • Employs JVS consumers (with DD and/or MI diagnoses) in an enclave setting to assist with meals

    Why do it this way?

  • It serves clients best.

    JAS & JVS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Norc ssp
NORC SSP Authority

  • JFMD Director

  • Housed at JFS

  • JFS and JVS staff

  • JCC as Venue

    Why do it this way?

  • It serves clients best.

    JFMD, JVS, JCC & JFS

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Cojes strategic plan
COJES Strategic Plan Authority

SERVICES

  • Coordinating services

  • Jewish residential service package

  • Transportation

  • Care Management

  • In-Home Support Services

  • Affordable Housing

  • Day Programs

  • Caregiver Support Center

  • No Wrong Door

  • Applications for residential services

  • Life Planning for pending and current retirees

  • COJES Website

  • Art of Jewish Caregiving

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Cojes strategic plan1
COJES Strategic Plan Authority

RECOMMENDATIONS

  • Create packages of services/programs

  • Explore synergies

  • Develop a seamless transition process

  • Reduce wait time

  • Increase the number of care managers

  • Increase the number of subsidized slots

  • Increase the number of subsidized apartments

  • Develop a resource and support center for caregivers

  • Create a system whereby people can enter through many starting points

  • Develop one application for housing

  • Develop life planning workshops

  • Update current website

  • Create a caregivers training program in the Art of Jewish Caregiving

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Cojes strategic plan2
COJES Strategic Plan Authority

THEMES

  • Seamlessness

  • Baby boomers as caregivers and soon to be “older” consumers

  • Focus on “Welderly” as well as Frail Elderly

  • No Wrong Door

  • Campus(es) - Strengthening while Community-Focused

  • Charging for services, e.g, Concierge

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Campus connections proposal
Campus Connections Proposal Authority

  • An accepted proposal to The Jewish Fund

  • A follow up study to further assess the wants and needs of older adults and their caregivers and the best methods for addressing these and delivering services

  • This has merged with the Eldercare Visioning Committee Process.

    Why do it this way?

  • It serves clients best.

    JAS, JCC, JFS, JHAS, JVS & JFMD

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


2005 detroit jewish population study
2005 Detroit Jewish Population Study Authority

  • 78,000 persons live in 30,000 Jewish households plus 500 Jews in institutions for a total of 78,500 persons in the Jewish community; 72,000 are Jews.*

  • 24% (18,486) are 65+ (compared to 17% - 17,850 in 1989).

  • 14% (10,920) are 75+ (compared to 6% - 6360 in 1989).

  • 4.4% (3432) are 85+ (compared to 1% - 1000 in 1989).

  • 47 – median age, 1989 – 41, NJPS 2000 – 39

  • 88% of Jews have lived in Detroit 20+ years – 97% for those 65+.

    *More on the ‘05DJPS available at www.jfmd.org/

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


2005 detroit jewish population study1
2005 Detroit Jewish Population Study Authority

  • 59% of households have an adult child in the area.

  • Median income: $85,000; $41,000 - age 65+; $86,000 - elderly couples; $24,000 - elderly singles

  • 17% of households have health-limited member; 33% for elderly households.

  • In-home care and transportation most needed services among older adults

  • Association with Jewish community (memberships, practice and/or philanthropic giving) highest among elderly couples – 79%; drops to 45% among elderly single households

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee role
Eldercare Visioning Committee: Role Authority

  • Examine the current package of services to older adults and service delivery system

  • Explore local and national models of eldercare service delivery

  • Develop recommendations re: best way to deliver services

  • Develop recommendations for funding older adult services

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee basic premises
Eldercare Visioning Committee: Basic Premises Authority

  • The number of people who will need services in the future and the cost of providing services will increase.

  • The primary focus of services is community, not institutional based.

  • The current system is not broken, but needed to decide if current system is best for the future, needs modification or there needs to be a new system.

  • The process is to be approached with no preconceived ideas and from a communal rather than individual agency perspective.

  • Committee members are encouraged to share, participate, be creative and brainstorm.

  • There are no bad ideas.

  • Committee has the ability to have a major impact now and in the future.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee roadmap
Eldercare Visioning Committee: Roadmap Authority

  • Educating Committee members

  • Creating a common knowledge base

  • Learning about other local and national models of eldercare service delivery

  • Examining specific service areas

  • Sharing information gathered

  • Making recommendations

  • Presenting recommendations to Federation leadership

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee lay professional intersection
Eldercare Visioning Committee: Lay-Professional Intersection Authority

  • Committee staffed by Planning Director/COJES Director

  • Other Federation staff include: Chief Administrative Officer, Endowment Specialist and Jewish Fund Director

  • Agency Executives Task Force on Aging presents to the Committee vision for older adult services, identified gaps and recommendations for future

  • Task Force joins Committee for presentations on other local and national models

  • Consultant includes meetings with Task Force members in report to Visioning Committee

  • Task Force to give input into Committee’s recommendations prior to finalization

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee benefits
Eldercare Visioning Committee: Benefits Authority

  • Creates greater visibility for needs of older adults

  • Reaffirms Federation’s commitment to addressing needs of older adults

  • Gets more people at the table

  • Engenders significant funding for older adult services

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee challenges
Eldercare Visioning Committee: Challenges Authority

  • Delay in implementation of COJES Strategic Plan

  • Altered professional-lay partnership that is core tenet of COJES

  • Potential lengthy implementation time for Visioning process recommendations

  • Ways to create dialogue between Committee and COJES Agency Executives Task Force on Aging

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare visioning committee possible outcomes
Eldercare Visioning Committee: Authority Possible Outcomes

Creation of a central agency

Modification of current COJES model

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Eldercare Services Structure Authority

The diagram above refers to services that could perhaps be consolidated. In addition, there still needs to be a discussion of other services that could potentially be consolidated such as food services and Holocaust survivor services. A decision was made to continue to coordinate volunteer services, but not to consolidate them into one agency due to the nature of volunteerism and the agency/volunteer relationship.

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Stay tuned

Stay Tuned! Authority

43


Questions answers dialogue
Questions, Answers & Dialogue Authority

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


Contact information
Contact Information Authority

Leah Rosenbaum, Executive Vice President and Chief Operating Officer

JVS

29699 Southfield Road, Southfield, MI 48076

(248) 233-4220 • [email protected]

Linda Blumberg, Director, Planning & Agency Relations

Jewish Federation of Metropolitan Detroit

6735 Telegraph Road, Bloomfield Hills, MI 48301

(248) 203-1468 • [email protected]

Perry Ohren, Chief Program Officer

Jewish Family Service of Metropolitan Detroit

6555 West Maple Road West Bloomfield, MI 48322

(248) 592-2302 • [email protected]

AJFCA & IAJVS 2007 ANNUAL CONFERENCE


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